Individual provider Active NPI

Leslie Wilson, LPC

  • Professional Counselor
  • Holland, MI
National Provider Identifier
1699435198
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401225351 Issued in MI
Practice address
476 James Gate CT
Holland, MI 49424-2922
Phone
(616) 635-4985
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MI
Professional Counselor 101YP2500X 6401225351 MI Primary
Counselor 101Y00000X

Addresses

Primary practice location

476 James Gate CT
Holland, MI 49424-2922

Mailing address

17160 130TH Ave
Nunica, MI 49448-9450
Phone (616) 298-8190

Other practice location 1

17160 130th Ave
Nunica, MI 49448-9450
Phone (616) 298-8190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718003821 MI Practitioner - Mental Health Counselor 9234512518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope Network S EGroup PAC ID 8628159936, 4 clinicians
Alternative Community Living IncGroup PAC ID 6608864350, 16 clinicians

Practice addresses (Care Compare)

1253 Woodnoll Dr
Flint, MI 48507-4715
Phone (810) 243-0986

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone (586) 627-0024

304 W Tobias St
Flint, MI 48503-3975
Phone (810) 742-3134

G3169 Beecher Rd
Flint, MI 48532-3611
Phone (810) 232-2766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Community Living, Inc. CurrentSince Jun 30, 2025 Accepting new patients
Hope Network S E CurrentSince Apr 1, 2026 Accepting new patients
Joy Therapy PLLC Counselor CurrentSince Jul 22, 2025 Accepting new patients
Alternative Community Living, Inc. Current Accepting new patients
Hope Network Behavioral Health Services CurrentSince Jun 30, 2025 Accepting new patients
Alternative Community Living, Inc. CurrentSince Jun 30, 2025 Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients

Locations

G3169 Beecher Rd
Flint, MI 48532
Phone (810) 213-1803

11652 W Grand River Ave
Lowell, MI 49331
Phone (616) 897-2956

175 N Groesbeck Hwy
Mount Clemens, MI 48043
Phone (586) 713-5103

17160 130th Ave
Nunica, MI 49448
Phone (616) 298-8190

1213 S Washington Ave
Saginaw, MI 48601
Phone (989) 401-9015

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1699435198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17160 130TH AVE",
            "city": "NUNICA",
            "state": "MI",
            "postal_code": "494489450",
            "telephone_number": "616-298-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 JAMES GATE CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242922",
            "telephone_number": "616-635-4985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17160 130th Ave",
            "address_purpose": "LOCATION",
            "city": "Nunica",
            "state": "MI",
            "postal_code": "494489450",
            "country_code": "US",
            "telephone_number": "616-298-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LESLIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401225351",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.